You are on page 1of 1

Nama Murid :

(Name of Student)

Nama Ibubapa / Penjaga :


(Name of Parent / Guardian)

No. Pendaftaran Sekolah : No. K/P :


(School Registration No.) (Identity Card No./ Pasport No.)

Tarikh Lahir : Tempat :


(Date of Birth) (Place)

Tarikh Masuk Sekolah : Ting Masuk Sekolah :


(Date of Admission) (Level at Admission)

Nama Sekolah Terdahulu :


(Previous School)

Tarikh Berhenti Sekolah : Tingkatan :


(Date of Leaving School) (Level)

Sebab Berhenti Sekolah :


(Reason for Leaving)

Permainan Dan Sukan :


(Games and Sports)

Kelab Dan Persatuan :


(Clubs and Societies)

Badan Beruniform :
(Uniform Bodies)

Catatan :
(Remarks)

Tarikh :
(Date of Issue)

…………………………………………..
()

You might also like